The URL can be used to link to this page

Home My WebLink About102831 LARIMER HUMANE SOCIETY - INSURANCE CERTIFICATE (2)303-776-4670 To:970-224-6134 970-224-6134 (1 of 1) 03-27-2013 09:56 AM -0600 N.I CERTIFICATE OF LIABILITY INSURANCE ��" DATE 2/13I2012 12/13/2012 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE. DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder In lieu of such endorsement(s). PRODUCER First Mainstreet Insurance, LLC 275 S. Main Street, Suite 100 P.O. BOX 847 Longmont CO 80502 CONTACT NAME: Deb Barone PHONE (303)776-5122 (303)]]6-5495 AIC No Es[: A/CNo ADDRIESS: dbarone@firstmainstreet.com WSURER(S) AFFORDING COVERAGE NAIL# INSURERA:Great American Insurance Co. INSURED 1��'I It Larimer Humane Society IDEA: Larimer Animal Protection 6 Control 5137 South College Avenue Fort Collins CO 80525 INSURERB:Great American Assurance Co. INSURERC:Great American Alliance Ins Co INSURERD:Pinnacol Assurance INSURERE: 1 INSURERF: COVERAGES CERTIFICATE NUMRER-12/13 GL AL UMB WC RFVISION NIIMRFR- THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ILTR TYPE OF INSURANCE AUDL WEB POLICY NUMBER MMIOOIYYYY MMIOOIYYYY LIMITS - GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 PREMISES(Ea occurrence $ 100,000 A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR RAC537377008 7/1/2012 /1/2013 MED EXP(Any one person) $ 10,000 PERSONAL B AOV INJURY $ '1,000,000 GENERAL AGGREGATE $ 2,000,000 GENL AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMPIOP AGO $ 2,000,000 X POUCY PRO-JECT LOC S AUTOMOBILE LIABILITY COMBINED MB tlED LIMIT(Ed $ 1,000,000 X. BODILY INJURY (Per person) $ B ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS AF5373771013 /1/2012 /1/2013 BODILY INJURY (Per accident 1 S HIRED AUTOS X NON -OWNED AUTOS X PROPERTY DAMAGE Per accident $ Uninsured motorist Bl-sin Ie $ 1,000,000 X UMBRELLA LIAB OCCUR EACH OCCURRENCE $ 1,000,000 AGGREGATE S 1,000,000 C EXCESS LIAR CLAIMS -MADE DED X RETENTIONS 10,00 S Lm537377208 /1/2012 /1/2013 D WORRERSCOMPENSATION ANDEMPLOYERS'LIABNtt YIN ANY PROPRIETORIPARTNERrEXECUTIVE OFFICERIMEMBER EXCLUDED' (Mandatory, In BE) If yes, describe under DESCRIPTION OF OPERATIONS below NIA 015370 /1/2012 /1/2013 WC STATU- OTH- T Y IT EL EACH ACCIDENT S 100,000 E.L DISEASE - EA EMPLOYEE S 100,000 EL DISEASE -POUCY LIMIT S 500,000 DESCRIPTION OF OPERATIONS! LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more apace is required) Certificate Holder as Additional Insured as required by written contract per policy form. (970)224-6134 City of Fort Collins Purchasing Department P O Box 580 Fort Collins, CO 80522 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE Barone DBARON�-_/ reserved. IN5U20 (2010051,01 The ACORD name and logo are registered marks of ACORD